Nursing Home

Livingston Manor Care Center

Nursing Home

Livingston Manor Care Center

CHILLICOTHE, MO 64601-2189 View map
Overview of Livingston Manor Care Center
Livingston Manor Care Center is a skilled nursing facility located in Chillicothe, MO. It offers nursing services, rehabilitation, and specialized care for dementia patients. The center provides a home-like atmosphere with a focus on enhancing health and quality of life.
(660) 646-5177

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Missouri average: 2.6/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Missouri average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Missouri average: 2.2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
1/5
Missouri average: 2.8/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 25m per day

This home provides 10% less nursing time per resident than the Missouri average.

Missouri average: 3h 49m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 94

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 34.3%
Residents per day (avg) 38
Occupancy rate
34.3%
Residents per day (avg)
38

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

58% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

25% of new residents, often for short stays.

Typical stay 1 years

Medicaid

17% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$2.7M
Operating loss
-$537.4K
Privately-owned community Operated by a business corporation.
Home revenue
$2,707,096.00
Operating loss
$-537,383.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.6M
58% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.7M
Total costs $3.2M
Bed community size
94-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
34%
In line with Missouri average
Occupied beds
32 / 94
Average residents 72 per day

License details

Facility type
Snf
County: LIVINGSTON

Additional licensing details

CMS Certification Number: 265621
Certification type: Medicare/Medicaid

Ownership & operating entity

Livingston Manor Care Center is administrated by CHRISTINA REDMOND.

Owner name: LIVINGSTON MANOR, INC

Care Services

Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

All Levels of Care

Skilled Nursing
Rehabilitation
Dementia Care

Amenities & Lifestyle

Private Medicare hall
private rooms
special care unit
individualized rehabilitation programs
social programs and activities

Programs & Activities

Activities
Monthly activity calendar provided to residents.
Specific Programs
Nursing Services, Rehabilitation Services, Dementia Care, Social Services, Activities

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare

Health Inspection History

Inspections
Total health inspections 7

Missouri average 6.6


Last Health inspection on Aug 2025

Total health citations 44
Citations per inspection
6.29

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

37 of 44 citations resulted from standard inspections; and 7 of 44 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 2
186% worse than Missouri average

Missouri average: 0.7


Serious Health citations More info 0
100% better than Missouri average

Missouri average: 1

2 critical citations More info Missouri average: 0.7

0 serious citations More info Missouri average: 1

42 moderate citations More info Missouri average: 33.6

0 minor citations More info Missouri average: 1.2
Citations history (last 3 years)
Nutrition moderate citation Aug 21, 2025
Corrected

Nutrition moderate citation Aug 21, 2025
Corrected

Abuse/Neglect moderate citation Jun 02, 2025
Corrected

Infection Control moderate citation Apr 05, 2025
Corrected

Compare Nursing Homes around Missouri

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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Livingston Manor Care Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 64601-2189
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LIVINGSTON MANOR INC
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Good Shepherd Care Community
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Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Concordia
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Places of interest near Livingston Manor Care Center

Address 0.0 miles from city center

Address CHILLICOTHE, MO 64601-2189

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

95
Total Staff
82
Employees
13
Contractors
11,580
Total Hours (Quarter)
15
Avg Staff/Day
8.5
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse 5 8.2 No
Licensed Practical Nurse 9 9 No
Certified Nursing Assistant 56 8.8 No
Staff by Category
Administration
2 staff
7.7hs shift avg
Nursing Staff
76 staff
8.9hs shift avg
Physicians & Practitioners
2 staff
9.8hs shift avg
Therapy Services
12 staff
2.3hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
1.3hs shift avg
Dietary Services
1 staff
9.3hs shift avg
Other Services
1 staff
6.8hs shift avg
Contractor Analysis
2.8%
of total hours from contractors
322 contractor hours this quarter
Occupational Therapy Assistant: 1 Respiratory Therapy Technician: 3 Physical Therapy Aide: 2 Physical Therapy Assistant: 1 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Speech Language Pathologist: 4
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant 56 0 56 6,399 91 100% 8.8
Licensed Practical Nurse 9 0 9 1,427 88 97% 9
Nurse Aide in Training 4 0 4 1,065 66 73% 9.3
Nurse Practitioner 2 0 2 950 71 78% 9.8
Dietitian 1 0 1 570 61 67% 9.3
Mental Health Service Worker 1 0 1 403 59 65% 6.8
Registered Nurse 5 0 5 252 30 33% 8.2
Medication Aide/Technician 2 0 2 170 14 15% 11.3
Physical Therapy Aide 0 2 2 157 60 66% 2.6
Speech Language Pathologist 0 4 4 67 36 40% 1.9
Respiratory Therapy Technician 0 3 3 37 17 19% 2.2
Physical Therapy Assistant 0 1 1 32 17 19% 1.9
Administrator 2 0 2 23 3 3% 7.7
Occupational Therapy Aide 0 1 1 15 3 3% 5
Qualified Social Worker 0 1 1 9 7 8% 1.3
Occupational Therapy Assistant 0 1 1 5 2 2% 2.3

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
31 residents
Residents by payment source
Medicare
3 residents (9.7%)
Medicaid
21 residents (67.7%)
Private pay or other
7 residents (22.6%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 11.5
6% worse than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.4
15% worse than Missouri average

Missouri average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 22.9%
16% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.1%
12% better than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.0%
44% worse than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 8.3%
106% worse than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.3%
6% worse than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
69% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.1%
45% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 63.9%
190% worse than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
17% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
10% better than Missouri average

Missouri average: 90.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
50% better than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 17.9%
706% worse than Missouri average

Missouri average: 2.2%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $114K
57% higher than Missouri average

Missouri average: $73K

Number of fines 1
59% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Missouri average

Missouri average: 0.7

Fines amount comparison
Fines amount comparison
This facility $114K
Missouri average $73K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 26, 2024
$114K

Last updated: Jan 2026

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Financial Aid for Missouri Seniors

Get financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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